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1760505192
CRYSTAL LEE STORDAHL
FAIRBANKS, AK
NPI
1760505192
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: AK 518)
Enumeration Date
2007-04-09
Last Update Date
2007-07-08
Business Address
Ms. CRYSTAL LEE STORDAHL Physician Assistant
1408 19TH AVE
FAIRBANKS, AK 99701-5903
Phone number: 907-452-8251
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Mailing Address
Ms. CRYSTAL LEE STORDAHL Physician Assistant
201 1ST AVE SUITE 300
FAIRBANKS, AK 99701-4848
Phone number: 907-452-8251
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